LARRY S PRAIRIE CHICKEN

PIERRE, SD
NPI1588370258
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SD  9607858)
Enumeration Date2023-01-26
Last Update Date2023-01-26
Business Address
LARRY S PRAIRIE CHICKEN
1714 ABBEY RD
PIERRE, SD 57501-7805
Phone number: 605-224-8841
Mailing Address
LARRY S PRAIRIE CHICKEN
1714 ABBEY RD
PIERRE, SD 57501-7805
Phone number: 605-224-8841
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